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Server: Apache/2.4.46 (Ubuntu)
System: Linux localhost 5.11.0-49-generic #55-Ubuntu SMP Wed Jan 12 17:36:34 UTC 2022 x86_64
User: root (0)
PHP: 7.4.16
Disabled: pcntl_alarm,pcntl_fork,pcntl_waitpid,pcntl_wait,pcntl_wifexited,pcntl_wifstopped,pcntl_wifsignaled,pcntl_wifcontinued,pcntl_wexitstatus,pcntl_wtermsig,pcntl_wstopsig,pcntl_signal,pcntl_signal_get_handler,pcntl_signal_dispatch,pcntl_get_last_error,pcntl_strerror,pcntl_sigprocmask,pcntl_sigwaitinfo,pcntl_sigtimedwait,pcntl_exec,pcntl_getpriority,pcntl_setpriority,pcntl_async_signals,pcntl_unshare,
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File: /var/www/html/sarvodayahospital/resources/views/components/need-help.blade.php
<div id="need-help">
    <div class="border rounded-3 px-4 py-3 mt-3">
        <h2 class="f-20 f-sm-20 mb-md-1 mb-2 mt-0 clrBlueDark fw-500">{{ $heading }}</h2>
        <p class="f-14 l-22 fw-500 f-sm-14 clr5c  mb-3">
            {{ $title }}
        </p>
        <form class="align-items-center labelled-form justify-content-center mb-md-0 mb-0 mt-md-0"
              id="callBackForm"
              action="{{ route('need-help') }}"
              method="POST"
        >
            @csrf
            {!! RecaptchaV3::field('needHelpRecaptcha') !!}
            <input type="hidden" name="source_url" id="source_url" value="{{ request()->fullUrl() }}">
            {{ $slot }}
        </form>
    </div>
</div>

<div class="on-success bgBlueDark text-center text-white mt-2" style="display: none">
    <div class="px-4 py-3">
        <p>Your request has been submitted, our team will contact you soon.</p>
    </div>
</div>